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Claims Processing

By Rene Letourneau | 11:14 am | May 08, 2012
As more patients grapple with high-deductible health plans and self-pay circumstances, it is becoming increasingly difficult for providers to collect payment for services rendered.
By Kelsey Brimmer | 04:05 pm | May 07, 2012
The Hospital and Healthsystem Association of Pennsylvania (HAP) released new data last week showing Medicaid payments falling short of costs by $5.28 billion between 2011 and 2015.
By Kelsey Brimmer | 12:47 pm | April 27, 2012
With the help of a two-year task force effort with the Foundation for Health Coverage Education (FHCE), Sharp HealthCare in San Diego has saved $5 million from self-pay patient reimbursements at four of their busiest emergency departments.
By Kelsey Brimmer | 08:58 am | April 19, 2012
According to a report released Wednesday by the Department of Health and Human Services, patients with Medicare are starting to save money on durable medical equipment (DME) through the Medicare competitive bidding program.
By Kelsey Brimmer | 02:46 pm | April 18, 2012
In a step towards enhancing the patient experience while simultaneously improving collection rates, Midland Memorial Hospital recently began offering CarePayment, an innovative patient loyalty and payment program, to help its patients cover out-of-pocket medical expenses by letting them pay back bills over a period of time.
By Kelsey Brimmer | 10:19 am | April 16, 2012
Two bills that would lower healthcare costs for veterans, make it easier for veterans to access the Veterans Administration (VA) healthcare system and prevent older veterans from unexpected out-of-pocket costs was recently introduced by Rep. Peter DeFazio (D-OR).
By Eric Wicklund | 09:51 am | March 30, 2012
Iconic Data has announced the release of SwiftPayMD, a revenue cycle management app for the iPhone and iPad that's designed to enable doctors to immediately bill for their services.
By Rene Letourneau | 11:48 am | March 26, 2012
On average, roughly 10 percent of all healthcare claims are initially denied and require additional work on the part of the provider to secure payment. One industry expert offers a three-part plan for reducing the impact of denials on the revenue cycle.
By Kelsey Brimmer | 03:20 pm | March 22, 2012
On Thursday, Health and Human Services (HHS) Secretary Kathleen Sebelius announced that health insurance premium increases in nine states have been deemed "unreasonable" under the rate review authority granted by the Affordable Care Act.
By Kelsey Brimmer | 09:44 am | March 20, 2012
With the second anniversary of the Affordable Care Act (ACA) approaching, new data shows that more than 5.1 million seniors and people with disabilities on Medicare saved over $3.2 billion on prescription drugs because of the new healthcare law.